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KENTUCKY RIVER COMMUNITY CARE, INC.

Company Details

Name: KENTUCKY RIVER COMMUNITY CARE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 23 May 1979 (46 years ago)
Organization Date: 23 May 1979 (46 years ago)
Last Annual Report: 26 Jun 2024 (9 months ago)
Organization Number: 0118111
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 41339
City: Jackson, Altro, Athol, Canoe, Decoy, Elkatawa, Fr...
Primary County: Breathitt County
Principal Office: 178 COMMUNITY WAY, P.O. BOX 794, JACKSON, KY 41339
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTH INSURANCE PLAN 2011 310965230 2012-07-26 KENTUCKY RIVER COMMUNITY CARE 440
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2011-01-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address PO BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address PO BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing MIKE KADISH
Valid signature Filed with authorized/valid electronic signature
PREPAID DENTAL CARE PLAN 2011 310965230 2012-01-31 KENTUCKY RIVER COMMUNITY CARE, INC. 296
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2011-01-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address PO BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address PO BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 509

Signature of

Role Plan administrator
Date 2012-01-31
Name of individual signing MIKE KADISH
Valid signature Filed with authorized/valid electronic signature
LIFE INSURANCE 2010 310965230 2011-03-31 KENTUCKY RIVER COMMUNITY CARE, INC. 499
Three-digit plan number (PN) 505
Effective date of plan 2008-05-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address P. O. BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address P. O. BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 508

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature
HEALTH INSURANCE PLAN 2010 310965230 2011-03-31 KENTUCKY RIVER COMMUNITY CARE 460
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address PO BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address PO BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 440

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature
VISION 2010 310965230 2011-03-31 KENTUCKY RIVER COMMUNITY CARE, INC 0
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address PO BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address PO BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 440

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature
LIFE INSURANCE 2010 310965230 2011-02-14 KENTUCKY RIVER COMMUNITY CARE, INC. 499
Three-digit plan number (PN) 505
Effective date of plan 2008-05-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address P. O. BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address P. O. BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 508

Signature of

Role Plan administrator
Date 2011-01-25
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature
HEALTH INSURANCE PLAN 2009 310965230 2011-02-14 KENTUCKY RIVER COMMUNITY CARE, INC. 460
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address P O BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address P O BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 440
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2011-01-25
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature
LIFE INSURANCE AND AD&D INSURANCE 2009 310965230 2010-06-28 KENTUCKY RIVER COMMUNITY CARE, INC. 441
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-05-01
Business code 621420
Sponsor’s telephone number 6066669006
Plan sponsor’s mailing address P O BOX 794, JACKSON, KY, 41339
Plan sponsor’s address 178 COMMUNITY WAY, JACKSON, KY, 41339

Plan administrator’s name and address

Administrator’s EIN 310965230
Plan administrator’s name KENTUCKY RIVER COMMUNITY CARE, INC.
Plan administrator’s address P O BOX 794, JACKSON, KY, 41339
Administrator’s telephone number 6066669006

Number of participants as of the end of the plan year

Active participants 470
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-06-28
Name of individual signing LOUISE HOWELL
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SANDY HOLBROOK Registered Agent

Vice President

Name Role
Jerry Harris Vice President

President

Name Role
Sandy Holbrook President

Secretary

Name Role
Brenda Turner Secretary

Director

Name Role
Scott Cornett Director
Keisha Hunt-Eary Director
Keith Pray Director
JOYCE TERRY Director
JIM GERGMAN Director
DAPHNE NORTHERN Director
FREDDIE LEWIS Director
MALCOLM KILDUFF Director

Incorporator

Name Role
C. VERNON COOPER, JR. Incorporator

Assumed Names

Name Status Expiration Date
VENTURE HEALTH Inactive 2021-06-29

Filings

Name File Date
Annual Report 2024-06-26
Annual Report 2023-06-02
Annual Report 2022-06-09
Annual Report 2021-06-15
Annual Report 2020-06-04
Annual Report 2019-06-12
Annual Report 2018-06-05
Registered Agent name/address change 2017-12-19
Annual Report Amendment 2017-12-19
Annual Report 2017-06-22

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
223102 Department of Agriculture 10.780 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-09-30 2010-09-30 COMMUNITY FACILITIES LOANS AND GRANTS - ARRA
Recipient KENTUCKY RIVER COMMUNITY CARE INC.
Recipient Name Raw KENTUCKY RIVER COMMUNITY CARE INC.
Recipient UEI QYRBZVGZ5EP3
Recipient DUNS 096553300
Recipient Address KRCC, P. O. BOX 794, JACKSON, BREATHITT, KENTUCKY, 41339-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 3615.00
Face Value of Direct Loan 276000.00
Link View Page
223012 Department of Agriculture 10.780 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-09-30 2010-09-30 COMMUNITY FACILITIES LOANS AND GRANTS - ARRA
Recipient KENTUCKY RIVER COMMUNITY CARE INC.
Recipient Name Raw KENTUCKY RIVER COMMUNITY CARE INC.
Recipient UEI QYRBZVGZ5EP3
Recipient DUNS 096553300
Recipient Address KRCC, P. O. BOX 794, JACKSON, BREATHITT, KENTUCKY, 41339-0000, UNITED STATES
Obligated Amount 100000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
123811226 0452110 1994-04-12 3375 KY HWY 155, JACKSON, KY, 41339
Inspection Type Complaint
Scope Complete
Safety/Health Health
Close Conference 1994-08-08
Case Closed 1994-09-23

Related Activity

Type Complaint
Activity Nr 73109472
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 F02 I
Issuance Date 1994-08-16
Abatement Due Date 1994-09-02
Current Penalty 2750.0
Initial Penalty 2750.0
Nr Instances 1
Nr Exposed 47
Related Event Code (REC) Complaint
Gravity 10
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 G02 I
Issuance Date 1994-08-16
Abatement Due Date 1994-09-02
Current Penalty 2750.0
Initial Penalty 2750.0
Nr Instances 2
Nr Exposed 45
Related Event Code (REC) Complaint
Gravity 10
Citation ID 01003
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 1994-08-16
Abatement Due Date 1994-09-23
Current Penalty 825.0
Initial Penalty 825.0
Nr Instances 1
Nr Exposed 47
Related Event Code (REC) Complaint
Gravity 01
Citation ID 01004
Citaton Type Serious
Standard Cited 19101200 H
Issuance Date 1994-08-16
Abatement Due Date 1994-09-23
Current Penalty 825.0
Initial Penalty 825.0
Nr Instances 1
Nr Exposed 45
Gravity 01
Citation ID 02001
Citaton Type Other
Standard Cited 203100102
Issuance Date 1994-08-16
Abatement Due Date 1994-09-23
Nr Instances 1
Nr Exposed 20
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-0965230 Association Unconditional Exemption 115 ROCKWOOD LN, HAZARD, KY, 41701-9415 1979-09
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 35510242
Income Amount 55426542
Form 990 Revenue Amount 55426542
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY RIVER COMMUNITY CARE INC
EIN 31-0965230
Tax Period 201606
Filing Type E
Return Type 990
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1194052 Intrastate Non-Hazmat 2023-02-14 250000 2022 18 63 Priv. Pass.(Non-business)
Legal Name KENTUCKY RIVER COMMUNITY CARE INC
DBA Name -
Physical Address 115 ROCKWOOD LANE, HAZARD, KY, 41701, US
Mailing Address PO BOX 794, JACKSON, KY, 41339, US
Phone (606) 666-4351
Fax (606) 666-5840
E-mail PAUL.WATTS@KRCCNET.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 2
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 2
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 2
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections

Unique report number of the inspection CV42865568
State abbreviation that indicates the state the inspector is from KY
The date of the inspection 2024-10-02
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred KY
Time weight of the inspection 3
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FORD
License plate of the main unit 730707
License state of the main unit KY
Vehicle Identification Number of the main unit 1FDWF37P07EA20402
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection CV42864281
State abbreviation that indicates the state the inspector is from KY
The date of the inspection 2023-09-27
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred KY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FORD
License plate of the main unit 730707
License state of the main unit KY
Vehicle Identification Number of the main unit 1FDWF37P07EA20402
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2000002135 Memorandum of Agreement 2020-07-01 2021-06-30 6041646
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (948) HEALTH RELATED SERVICES (FOR HUMAN SERVICES SEE CLASS 952)
Authorization Memorandum of Agreement
Document View Document
Executive 1900003119 Memorandum of Agreement 2018-12-01 2020-06-30 540000
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (958) MANAGEMENT SERVICES
Authorization Memorandum of Agreement
Document View Document

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-26 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 80
Executive 2025-02-17 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 1750
Executive 2025-01-24 2025 Justice & Public Safety Cabinet Justice - Office Of The Secretary Fin Assist/Non-State Agencies Grants-In-Aid Federal 19178.04
Executive 2025-01-13 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 3600
Executive 2025-01-09 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 620
Judicial 2025-01-08 2025 - Judicial Department Miscellaneous Services Serv N/Othwise Class-1099 Rept 5477.19
Executive 2025-01-06 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 830
Executive 2024-12-11 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 750
Judicial 2024-12-10 2025 - Judicial Department Miscellaneous Services Serv N/Othwise Class-1099 Rept 7151.32
Executive 2024-12-10 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 2040

Sources: Kentucky Secretary of State